AMA CPT® Assistant - 2022 Issue 8 (August)

Questions and Answers (August 2022)

August 2022 page 16 Questions and Answers Evaluation and Management (E/M): E/M Services Guidelines Question: May a non–emergency department (ED) health care professional who is called to the ED to consult on a patient perform a time-based visit in the ED? For example, a cardiologist is called to see the ED patient and the patient is not admitted. Answer: Yes, the non-ED physician or other qualified health care professional (QHP) may report a time-based consultation code if more than 50% of the visit is spent in counseling and/or coordination of care. The guidelines for consultations were not part of...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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